UNCLASSIFIED// ..-..-...-.. ....,,..,.., ,..., a, , , ,...,.. ..-..a,n, J..71"\ - vrrf'l;;,TF\L------U::)C-Vl'l C f EPSTEIN JEFFREY EDWARD 03/09/201512:02:00 (b )(?)(E) Air/ Sea Baggage Secondary lnspectionall Subject Last Name: First Name: Gender: Race: Date Of Birth: Hispanic: Crossing Information Port: Site: Inbound/Outbound: Port Crossing Date: Embark Port: Departure Airport: Airline: Carrier Trip: tmtuttsl EPSTEIN JEFFREY EDWARD Male . White - 01/20/1953 NOT OF HISPANIC OR LATINO ORIGIN 1111 CHARLOTTE AMALIE-ST THOMAS, VI (5101) CBP-CYRIL EKING, INTL AIRPORT @911 Inbound 03/09/2015 12:02:00 VILLA DE PORTO AZORES . VILLA DE PORTO AZORES • GENERAL AVIATION {*GA) *GA N908JE (b )(7)(E) Passenger Document Document Type: Ref err al / Inspection Information Document Type I: Issue Country: Document Number: Miscellaneous Info PASSPORT. PASSPORT' United States {US/USA) _, Agency Referral: Referral Office: Referral Reason: Referral Comment: Inspection Completion: Inspection Disposition: Inspection Result: (b)(7)(E) (b )(7)(E) Personnel Search: No Baggage Examination: No Bags X-rayed: 01 Flight Vessel Crew: No Passenger On Declare Number: 01 Inspection Operations Electronic No Media: Violations Violation 1: (b)(?)(E) UNCLASSIFIED // r-"n r"\r-r-,,-.., A 1 1 , ,...,- ""''"' (b )(?)(E) Yes Complete Positive (b )(7)(E) I

